著者
宮脇 淳 石井 吉春 遠藤 乾 山崎 幹根 林 成蔚 木村 真 若松 邦弘
出版者
北海道大学
雑誌
基盤研究(A)
巻号頁・発行日
2009 (Released:2009-04-01)

台湾の直轄市制度の拡充に伴う政府間財政調整制度改革の政策議論、韓国の広域市制度の展開、欧州の財政危機問題に伴う財政と政治の理論的関係等について合意形成にまで掘り下げた比較研究を行い、その成果を日本の地方分権議論に反映させる調査研究を行った。とくに、台湾の直轄市制度に関する調査研究は、日本の大都市制度議論、財政調整制度のあり方、そして閣議意思決定との関係について新たな視野を形成した。
著者
石井 吉春
出版者
北海道大学公共政策大学院 = Hokkaido University Public Policy School
雑誌
年報 公共政策学 (ISSN:18819818)
巻号頁・発行日
vol.3, pp.39-57, 2009-03-31

In the municipality hospital, the deficit that reaches 200 billion yen a year is summed up. Therefore, the reform of management is requested, and the reform is advanced based on "Reform guideline of the public hospital". The population density of north Hokkaido is especially low. Therefore, the municipality hospital bears a basic medical treatment while suffering a deficit. And most hospitals according to "Guideline" are urged by the necessity the number of beds reduction, and the conversion to the clinic. In this research, the medical demand of north Hokkaido is examined, and it searches for the direction of management reforms in the municipality hospital.
著者
石井 吉春
出版者
生活経済学会
雑誌
生活経済学研究 (ISSN:13417347)
巻号頁・発行日
vol.33, pp.71-84, 2011
被引用文献数
1

Recently, the management of the municipality hospitals has deteriorated and the approach of various public private partnerships is done in a lot of hospitals to improve management. In the case of PFI, we have only a few examples with less favorable results. But in the case of using Specified Manager and Local Independent Administrative Agency, we see a lot more cases with better results. In this research, the works of the two methods of privatization, Specified Manager and Local Independent Administrative Agency, are examined investigating the actual cases of privatization of municipality hospitals. Most cases using Local Independent Administrative Agency have proved to attain a certain level of efficient management, and most cases of Specified Manager with user-charge system have also attained effective management. However, these results may owe to the advantage of initial operations and the strong sense of crisis on the part of hospital stuff.